Kamehameha Health and Wellness Nonprofit Corporation

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

Legal business name

KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION

Practice address

3250 Weschester Avenue
Suite LL4
Bronx, NY 10461-4548

Phone

(718) 684-6465

Fax

(718) 684-6467

NPI assigned

Mar 28, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Purificacion Cristobal, DNP, PHDNPI 1487852125

Title

Managing Agent

Phone

(718) 684-6465

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Purificacion Cristobal, DNP, PNP, FNP& PSYC

  • Addiction Psychiatry Physician
  • Bronx, NY
  • NPI 1487852125

  Multi-Specialty

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1326432238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 WESCHESTER AVENUE",
            "address_2": "SUITE LL4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614548",
            "telephone_number": "718-684-6465",
            "fax_number": "718-684-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WESCHESTER AVENUE",
            "address_2": "SUITE LL4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614548",
            "telephone_number": "718-684-6465",
            "fax_number": "718-684-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-28",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "CRISTOBAL",
        "authorized_official_first_name": "PURIFICACION",
        "authorized_official_title_or_position": "MANAGING AGENT",
        "authorized_official_telephone_number": "718-684-6465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05459852",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aisha Kamara
• Eli Kamara, MD
• Fatmata A. Kamara
• Isha Kamara
• Martha Kainde Kamara
• Andrew Kamel, MD
• Josette Mary Kamel
• Flavio Roberto Kamenetz, MD-PHD
• Dana Kamens, PA
• Sharifa Tabitha Kamga, MSPECED, MS PSYCH

• Addiction Psychiatry Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Addiction Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.